Nottingham woman, 75, was 'first person to catch coronavirus in UK'

The first person to catch coronavirus in the UK has been identified by researchers as a 75-year-old woman from Nottingham.

The pensioner tested positive for Covid-19 on February 21 after being admitted to hospital with severe breathing difficulties.

She later died with the virus, researchers from the University of Nottingham said.

They made the discovery after analysing 1,660 samples from 1,378 patients that were collected between January 2 and March 11 from a teaching hospital in the city.

Writing in a study, which has not yet been peer-reviewed, the researchers say: “Patient 1 in this study is, to the best of our knowledge, the earliest described community-acquired case of SARS-CoV-2 (the virus which cases Covid-19) in the UK."

DNA sequencing showed there had been multiple introductions of the virus into the region before wide-scale testing was introduced.

It also reveals the first official case of coronavirus in the area - a traveller who had returned from South Korea and tested positive on February 28 - had most likely caught the virus in Nottingham rather than in Korea, as had previously been assumed.

Researchers said the overall findings of their study indicate the early spread of Covid-19 could have been prevented if extensive community testing had been in place sooner and initial criteria for diagnosis had not been so strict.

The results suggest the virus was already circulating widely in local communities in the UK in early February and into March.

Initially, people needed to meet strict criteria before they could be tested.

This included proof that they had recently travelled to China’s Hubei province or had contact with a known case.

They also needed to have suffered a fever, shortness of breath or a new and persistent dry cough.

These standards were revised on several occasions to include travel to mainland China and several other Asian countries.

They were then expanded further to include Iran and northern Italy, before finally being removed as essential criteria for diagnostic testing by mid-March.

The researchers’ intensive sequencing of virus strains circulating through March – when there was limited community testing – showed numerous introductions of different strains of the virus that went undetected.

Professor Jonathan Ball, one of the authors of the study, said: “Our data highlights the importance of timely and extensive community testing to prevent future widespread transmission of the virus.

“Had the diagnostic criteria for Covid-19 been widened earlier to include patients with compatible symptoms but no travel history, it is likely that earlier imported infections would have been detected, which could have led to an earlier lockdown and lower deaths.

“However, the capacity for testing available nationally was not sufficient at the time to process the volume of testing required with a broader case definition.

“In order to prepare for any future pandemic such as this, the UK urgently needs to invest in and expand diagnostic capacity within NHS and PHE (Public Health England) diagnostic laboratory services.

“Any lasting investment in the human resources and associated infrastructure to achieve a more agile epidemic response both nationally and globally will undoubtedly save lives and drastically reduce the adverse impact of such outbreaks on the economy.”